National Provider Identifier Database

MERYL G DOMINA, LCSW, PH.D. – NPI #1023394202
Clinical

A social worker who holds a master?s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master?s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.


Contact Information

MERYL G DOMINA, LCSW, PH.D.
14 HEALTH SERVICES DRIVE
DEKALB, IL60115
Phone: 815-758-8616
Fax: 815-758-7569
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X

* Indicates primary specialty

NPI Profile & details for MERYL G DOMINA

NPI Number 1023394202
Credentials LCSW, PH.D.
Entity Individual
Enumeration date 11/01/2011
Last updated 11/01/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 150-003461
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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